obama and mr. lu is getting something done will require coming to agreement with congress, and there the philosophical divide is so wide, that makes getting something done very challenging. >> ifill: part of the divide is health care. this is the time when the rubber hits the road in terms of implementation. this is a cabinet member who is not leaving. >> i think one of the reasons she has job stability and we see with some of the the appointments getting confirmed. there has not been a head of the-- one of the subcabinet appointments in him h.s., the head of the center for medicare and medicaid services since 2006, in the middle of bush's bs second term because it is so difficult to get that through the senate. it would be hard to imagine trying to replace kathleen sebieluous, which is probably a good thing, because she has so much to do this year, getting the affordable care act up and running, most of it in times for january 1, 2014, plus all of these budget debates that are going on that will i